Pratibimb — ward
Ramesh and Aarav are locked seed cases. Sunita PPH + legacy PET/asthma extras. Drafts you author never overwrite locked seeds.
47 · Nagpur · Auto-rickshaw driver
47-year-old auto-rickshaw driver from Nagpur, district ED. Onset 40 minutes ago. Speaks Marathi first. You are the duty clinician. Critical actions are not listed on the screen. Time pressure: 15 minutes.
“Doctor, chatit jad watatay, ghaam yetoy.”
34 · Araria, Bihar · Home, third pregnancy (G3P2)
34-year-old woman, G3P2 at 32 weeks, referred by an ASHA from a village PHC in Araria. Headache and swelling. She speaks Hindi with Bhojpuri inflections. Resource-constrained casualty. You are the duty doctor.
“Doctor saheb, sir mein bahut dard hai. Aankh ke aage jugnu jaise chamak rahe hain.”
8 · Hyderabad · Class 3 student
8-year-old boy brought by his mother to a Hyderabad paediatric casualty at 23:40. Tight chest and night cough after a dusty school function. Mother is Telugu-primary. History is caregiver-mediated. You are the paediatric MO.
“Amma: Doctor garu, vaadu night antha kosta unnadu. Breathing kastam ga undi.”
29 · Wardha · ASHA helper, came for fever injection
OPD, district hospital Wardha. A 29-year-old woman received IM ceftriaxone for fever five minutes ago. She is itchy, breathless, voice changing. You are the MO in the injection room. Critical actions are not listed on the screen.
“Doctor… injection nantar khaj, saans takatay. Aawaaz badaltoy.”
0 · Chennai · 3-day-old term neonate, 2.9 kg
3-day-old term male, 2.9 kg, private nursing home ER Chennai. Brought by first-time mother Meera — she is the interaction surface; the baby cannot speak. Day-3 poor feeding, tachypnea, fever. PROM and inadequate intrapartum prophylaxis are buried in history. 20-minute clock.
“Doctor, kuzhandhai saapadala, udal soodu maathiri irukku. Maybe he is just sleepy?”
34 · Araria, Bihar · Home, postpartum day 2 after home delivery with dai
34-year-old, day-2 postpartum at a rural PHC in Bihar. Home delivery with traditional birth attendant; placenta reportedly 'complete' but never examined. Pale, tachycardic, hypotensive, ongoing clots. Doctor may be 40 minutes away. You are the ANM/GNM on duty.
“Doctor saheb, khoon ab bhi aa raha hai. Chakkar aa rahe hain. Bachcha theek hai par main gir jaaungi.”